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Need for Change Essay

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Need For Change

Thomas Edison State College

Advanced Nursing Practice
December 14, 2013
As a new nursing student, with a start date of October 1, the need for change in the state of New Jersey licensing requirement is already apparent.   Speaking with multiple nurses at the Capital Health facility in Pennington, a common theme mentioned is the extremely high rate of new nurses leaving practice after less than one year.   With so many new nurses abandoning nursing after receiving their RN, seems there must be a problem either with the curriculum design preparing future nurses for employment and/or the training programs offered for new employees.
The Institute of Medicine recommends the implementation of nurse residency programs.   State boards of nursing, accrediting bodies, the federal government, and health care organizations should take action to support nurses’ completion of a transition-to-practice program (nurse residency) after they have completed a pre-licensure or advanced practice degree program or when they are transitioning into new clinical practice areas.
The institute goes on to recommend the following actions should be taken to implement and support nurse residency programs:
The Secretary of Health and Human Services should redirect all graduate medical education funding from diploma nursing programs to support the implementation of nurse residency programs in rural and critical access areas.
Health care organizations, the Health Resources and Services Administration and Centers for Medicare and Medicaid Services, and philanthropic organizations should fund the development and implementation of nurse residency programs across all practice settings.
Health care organizations that offer nurse residency programs and foundations should evaluate the effectiveness of the residency programs in improving the retention of nurses, expanding competencies, and improving patient outcomes.
To implement forward thinking progressive action,...

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